Active NPI
Tiffany Davis, RD
- Registered Dietitian
- Venice, FL
National Provider Identifier
1518340355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND6940
- Practice address
- 1370 E Venice Ave
Ste 205
Venice, FL 34285-9082 - Phone
- (941) 800-4700
- Fax
- (941) 800-4711
- NPI assigned
- Jun 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND6940 | FL | Primary |
Addresses
Primary practice location
1370 E Venice Ave
Ste 205
Venice, FL 34285-9082
Mailing address
1370 E Venice Ave
Ste 205
Venice, FL 34285-9082
Phone (941) 800-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1518340355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 E VENICE AVE",
"address_2": "STE 205",
"city": "VENICE",
"state": "FL",
"postal_code": "342859082",
"telephone_number": "941-800-4700",
"fax_number": "941-800-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 E VENICE AVE",
"address_2": "STE 205",
"city": "VENICE",
"state": "FL",
"postal_code": "342859082",
"telephone_number": "941-800-4700",
"fax_number": "941-800-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TIFFANY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND6940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.